Director, Accounts Receivable Business Management

Company: Boston Children's Hospital
Location: Boston
Posted on: June 1, 2025

Job Description:

Position Summary

The Director of Hospital Accounts Receivable Business Management is responsible for leading comprehensive cash management strategies and overseeing denials, appeals, and candidate-for-billing processes.

Key Responsibilities

Cash Management:
--- Develop and oversee hospital cash strategies, reconciliation processes, and automation.
--- Ensure adherence to institutional policies and regulatory requirements.
--- Lead cash collection and error reduction initiatives.
--- Collaborate with Hospital Financial Reporting and Physician Organization Accounting teams.

Denial Management:
--- Conduct root cause analysis to identify denial trends and drive improvements.
--- Lead the Denial Management Oversight Committee (DMOC).
--- Develop denial accountability models across all revenue cycle areas.
--- Produce and present comprehensive denial trend reports.

Appeals Management:
--- Oversee timely and effective resolution of denied claims.
--- Monitor appeal outcomes and refine strategies.
--- Enforce accountability models across revenue cycle areas.

Candidate for Billing Oversight:
--- Manage timely resolution of edits in the candidate-for-billing process.
--- Track volumes and optimize success rates.
--- Maintain accountability across departments for performance improvement.

Stakeholder Collaboration:
--- Partner with clinical, IT, and billing teams to address denial causes and automation opportunities.
--- Align strategies across stakeholders to reduce rejections and enhance workflows.

Process Improvement:
--- Implement continuous process improvements and workflow enhancements.
--- Leverage data analytics to monitor performance and inform strategy.

Regulatory Compliance:
--- Stay current on healthcare regulatory changes.
--- Ensure all related processes meet compliance standards.

Leadership & Team Development:
--- Lead, mentor, and develop a high-performing team.
--- Foster a culture of accountability, collaboration, and innovation.

Required Qualifications

--- BA degree in Finance or related field: MA degree preferred.
--- Relevant certifications such as CPC, COC, AHIMA-CCS, RN, RT, MT, RPH, or PMP are highly desirable.
--- 10 years of experience in hospital finance or revenue cycle management, with significant exposure to cash management and denial/appeals processes.
--- Proven experience in process improvement and regulatory compliance within a healthcare setting.
--- Strong leadership skills with a track record of developing high-performing teams.
--- Excellent analytical, problem-solving, and communication skills.
--- Proficiency with financial management systems and data analytics tools.
--- Ability to manage multiple projects and negotiate with peer level leaders on issues affecting both the department and the broader hospital organization.
--- Strong knowledge of end-to-end healthcare revenue cycle operations.
--- Ability to communicate effectively and collegially, including empathetic communication in challenging situations.

Boston Children's Hospital offers competitive compensation and unmatched benefits.

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Keywords: Boston Children's Hospital, Methuen , Director, Accounts Receivable Business Management, Executive , Boston, Massachusetts